Interested Evaluator Contact Form

Thank you for your interest in CCNE! New evaluators are trained on an as-needed basis.

When the evaluator application opens, CCNE will email the materials directly to the interested evaluators whose contact information is submitted through this form.

Please note that submission of this form does not constitute a completed application to serve as a CCNE on-site evaluator.

Please select today's date * +

Nominator first and last name (if applicable)

Nominator email (If applicable)

Interested Evaluator Contact Information

What type of nursing program are you interested in evaluating? (Check all that apply) *

Baccalaureate and graduate programs

Entry-to-Practice Residency programs

Nurse Practitioner Residency/Fellowship Programs

First name *

Last name *

Employer *

Title *

Email *